Organization Active NPI

Stuart L. Rusnak, M.D., Inc.

  • Allergy & Immunology Physician
  • Honolulu, HI
National Provider Identifier
1073761227
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
2844 Issued in HI
Legal business name
STUART L. RUSNAK, M.D., INC.
Practice address
1319 Punahou St
Suite 1030
Honolulu, HI 96826-1001
Phone
(808) 955-0788
Fax
(808) 951-7233
NPI assigned
Aug 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stuart L Rusnak, M.D.
Title
President
Phone
(808) 955-0788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 2844 HI Primary

Addresses

Primary practice location

1319 Punahou St
Suite 1030
Honolulu, HI 96826-1001

Mailing address

1319 Punahou St
Suite 1030
Honolulu, HI 96826-1001
Phone (808) 955-0788

Other identifiers 1

IdentifierTypeStateIssuer
03651901MedicaidHI

National Provider Directory

National Provider Directory

Locations

1319 Punahou St
Ste 1030
Honolulu, HI 96826
Phone (808) 942-5570

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1073761227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "SUITE 1030",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261001",
            "telephone_number": "808-955-0788",
            "fax_number": "808-951-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "SUITE 1030",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261001",
            "telephone_number": "808-955-0788",
            "fax_number": "808-951-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART L. RUSNAK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "RUSNAK",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-955-0788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "HI",
            "license": "2844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03651901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.